Other Titles
Emotional distress for those afflicted with cardiovascular issues [Session]
Abstract
Session presented on Monday, November 9, 2015:
Background: Studies investigating psychological factors have shown that negative emotions independently influence coronary heart disease (CHD) outcomes, contribute to decreased quality of life, poor prognosis, and decreased medication adherence. Extant comorbidities, such as diabetes, obesity, hypertension and inadequate sleep are significant correlates of CHD. Yet,the research that hasbeen conducted to distinguish what proportion is independently attributable to these factors lacks consensus.
Methods: In a cross-sectional study using a nationally representative sample, we examined the independent associations between emotional distress and CHD among 25, 352 adults from the National Health Interview Survey (2008-2009). Relationships were examined using a multivariate hierarchical logistic regression model controlling for sociodemographic variables, self-reported physician diagnosed medical history, sleep duration, emotional distress, and health behaviors.
Results: The overall prevalence of participants reporting CHD from the NHIS data was 5.1%, of which 75.2 % self-reported hypertension, 30.5% diabetes, 26.6% <6 or >9 hrs of sleep and 16.4% emotional distress. While the least prevalent self-reported condition at baseline, analysis revealed individuals reporting emotional distress had an estimated two-fold increased risk for CHD [OR = 2.00 95% CI: 2.00-2.01; p<0.0001]. The estimated risk of CHD for participants reporting diabetes and inadequate sleep were increased by 84% and 14%, respectively.
Conclusion: In this study, emotional distress confers significant risk for CHD beyond traditional risk factors, such as diabetes and obesity. Our findings suggest that clinicians should work with their patients to promote emotional vitality and wellness to blunt the negative impact emotional distress has on cardiovascular health and refer for mental health services when appropriate.
Sigma Membership
Zeta Gamma
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Emotional Distress, Coronary Heart Disease, Cardiovascular Risk
Recommended Citation
Hill, Alethea N., "Associations between emotional distress and coronary heart disease: Analysis of National Health Interview Survey 2008-2009" (2016). Convention. 59.
https://www.sigmarepository.org/convention/2015/presentations_2015/59
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Associations between emotional distress and coronary heart disease: Analysis of National Health Interview Survey 2008-2009
Las Vegas, Nevada, USA
Session presented on Monday, November 9, 2015:
Background: Studies investigating psychological factors have shown that negative emotions independently influence coronary heart disease (CHD) outcomes, contribute to decreased quality of life, poor prognosis, and decreased medication adherence. Extant comorbidities, such as diabetes, obesity, hypertension and inadequate sleep are significant correlates of CHD. Yet,the research that hasbeen conducted to distinguish what proportion is independently attributable to these factors lacks consensus.
Methods: In a cross-sectional study using a nationally representative sample, we examined the independent associations between emotional distress and CHD among 25, 352 adults from the National Health Interview Survey (2008-2009). Relationships were examined using a multivariate hierarchical logistic regression model controlling for sociodemographic variables, self-reported physician diagnosed medical history, sleep duration, emotional distress, and health behaviors.
Results: The overall prevalence of participants reporting CHD from the NHIS data was 5.1%, of which 75.2 % self-reported hypertension, 30.5% diabetes, 26.6% <6 or>9 hrs of sleep and 16.4% emotional distress. While the least prevalent self-reported condition at baseline, analysis revealed individuals reporting emotional distress had an estimated two-fold increased risk for CHD [OR = 2.00 95% CI: 2.00-2.01; p<0.0001]. The estimated risk of CHD for participants reporting diabetes and inadequate sleep were increased by 84% and 14%, respectively.
Conclusion: In this study, emotional distress confers significant risk for CHD beyond traditional risk factors, such as diabetes and obesity. Our findings suggest that clinicians should work with their patients to promote emotional vitality and wellness to blunt the negative impact emotional distress has on cardiovascular health and refer for mental health services when appropriate.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.